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This patient is in his early 50’s and has type IV hair loss. We started finasteride and minoxidil and performed FUT 3,694 grafts and PRP/ACell. He is shown one year later. He noted that the results actually looked better at 8 months. When I questioned him about what happened, he confessed to using anabolic steroids about that time, which contained dihydrotestosterone! I counselled him that taking exogenous DHT will damage the hair and finasteride won’t help because it lowers your own DHT but does not block the DHT receptors.
